Medical Records Technician

Responsible for scanning, assembling and maintaining patients’ health information in medical records.

Ensures all forms are completed and properly identified and signed and all necessary information is in the computer.

Assigns deficiencies as need for Dictation and signers.

Communicates with physicians or others to clarify diagnoses or get additional information.

Compiles, verifies and files medical records by performing the following duties.

Review medical records for completeness, assembles records into standard order and files records in designated areas according to applicable alphabetic and numeric filing systems.

Files processed lab, pathology reports, and loose correspondence into patient records once physician has reviewed and signed appropriately.

Responds to requests for information from files according to established policies and procedures.

Operates computer to retrieve data and file signed correspondence and reports.

Combines duplicate patient records submitted from patient accounts department.

Maintains alphabetic filing system by organizing patient records on shelves to ensure records are readily accessible by all departments.

Answers calls from Clinical staff pertaining to medical records.

Completes, mails, faxes and files physician’s transcription documentation.

Comply with federal HIPAA regulations and practice policies for the privacy and security of patient information; explain the law and our privacy policy to patients as needed; maintain appropriate documentation of access to medical records.

Selects, pulls and processes files for year-end purging.

• • Makes runs to the floors once a day and picks up various loose filing for discharged patients.
  • Files incomplete charts into physician drawers in date order (right to left, with the right side being the oldest, then by dictator and by signers). 
  • Print out Business Office requests and other insurance requests in paper/disc form.
  • Performs release of information after getting proper authorization.
  • Answers the phone calls from the public and other hospital departments.
  • Assist in all functions of the Medical Records department as time and or need allows on a daily basis.

  ·         Communicates with physicians or others to clarify diagnoses or get additional information.

  ·         Compiles, verifies and files medical records by performing the following duties.

  ·         Review medical records for completeness, assembles records into standard order and files records in designated areas according to applicable alphabetic and numeric filing systems.

  ·         Files processed lab, pathology reports, and loose correspondence into patient records once physician has reviewed and signed appropriately.

  ·         Responds to requests for information from files according to established policies and procedures.

  ·         Operates computer to retrieve data and file signed correspondence and reports.

  ·         Combines duplicate patient records submitted from patient accounts department.

  ·         Maintains alphabetic filing system by organizing patient records on shelves to ensure records are readily accessible by all departments.

  ·         Answers calls from Clinical staff pertaining to medical records.

  ·         Completes, mails, faxes and files physician’s transcription documentation.

  ·         Comply with federal HIPAA regulations and practice policies for the privacy and security of patient information; explain the law and our privacy policy to patients as needed; maintain appropriate documentation of access to medical records.